11 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... chest, initially ... by CXR, so use CT ... contusion Dr. ... #Chest #Breathing
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... chest, initially ... by CXR, so use CT ... contusion Dr. ... #Chest #Breathing
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Tamponade • Flail ... Chest The Hidden ... • Pulmonary Contusions ... Blunt Cardiac Injury ... #diagnosis #management
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... more places - Flail ... chest, pulmonary ... , pulmonary contusion ... #diagnosis #signs
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... movement Typical management ... #Chest #Breathing ... #Pattern #Trauma ... #PhysicalExam #Pulmonary
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Aortic Rupture* Chest ... Fractures • Flail ... Chest* • Diaphragm ... • Pulmonary Contusion
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... chest to evaluate ... typically seen on chest ... CT ... differential #diagnosis #management
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Loss of weight • Chest ... Nasal polyps and signs ... high-resolution chest ... CT) • Broncho-arterial
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
• Decompress chest ... thoracostomy, chest ... tube • Consider chest ... skin, ↑ HR, ↓ cap ... source: Head/scalp, Chest
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Pneumonia Signs ... /Symptoms: • Confusion ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT